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Date run8/11/20 :51:27Ph SAN JOA#N COUNTY ENVIRONMENTAL HEAL�DEPARTMENT Reponp5021 <br /> Run by O6 Paget <br /> Facility Information as of 8/11/20 <br /> Record Selection Criteria: Facility ID FA0004013 <br /> Make changes/corrections in RED ink. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION SSN/Fed Tax ID : <br /> Owner ID OW0002758 New Owner ID <br /> Owner Name PORT OF STOCKTON <br /> Owner DBA PORT OF STOCKTON <br /> Owner Address 2201 W WASHINGTON ST <br /> STOCKTON, CA 95203 <br /> Home Phone 209-946-0246 <br /> Work/Business Phone Not Specified <br /> Mailing Address PO BOX 2089 <br /> STOCKTON, CA 952012089 <br /> Care of <br /> FACILITY FILE INFORMATION Site Mitigation Facility <br /> Facility ID FA0004013 <br /> Facility Name SFPP, LP STOCKTON TERMINAL <br /> Location 2947 NAVY DR <br /> STOCKTON, CA 95206 <br /> Phone 213-486-7947 <br /> Mailing Address 1100 TOWN &COUNTRY RD <br /> ORANGE, CA 92868 <br /> Care of SANTA FE PACIFIC PIPE/HOLLAND <br /> Location Code 01 -STOCKTON Alt Phone <br /> SOS District 001 -VILLAPUDUA Fax <br /> APN EMail: <br /> EMERGENCY NOTIFICATION CONTACT INFORMATION <br /> Contact Name JAMES HOLLAND <br /> Title <br /> Day Phone 213-486-7947 <br /> Night Phone 213-486-7947 <br /> ACCOUNTS RECEIVABLE FILE INFORMATION <br /> Account ID AR0003643 New Account ID: <br /> Mail Invoices to Facility Mail Invoices to: Owner / Facility / Account <br /> Account Name SFPP, LP STOCKTON TERMINAL (circle One) <br /> Account Balance as of 8/11/2010: $287.50 <br /> (Circle One) <br /> Transfer to Active/Inacrve <br /> Program/Element and Description Record ID Employee ID and Name Status New Owner? Delete <br /> 2960-RWOCB SITE PR0009278Active Y N A I D <br /> 0BILLING and COMPLIANCE ACKNOWLEDGEMENT: I,the undersigned owner,operatoro?agInl of same,ac nowledge that III site,and/or project specific,PHS/EHD hourly charges associated with this <br /> facility or activity will be billed to the parry Identified as the OWNER on this form. I also certify that all operations will be performed in accordance with all applicable Ordinace Codes and/or Standards and <br /> State an Vor Federal Laws. <br /> APPLICANT'S SIGNATURE: Date <br /> Program Records to be TRANSFERED: "$20.00= Amount Paid Lopata / 7,141 <br /> Water System to be TRANSFERED: "$372.00= Amount Paid �4 ate� l—L <br /> Payment Type ✓ Check Number 4o71-77 Received by IZI(/ <br /> RENS: Date / / Account out: Date ! / <br /> COMMENTS: <br /> Lf 0>1 <br /> \\eh-env\envision\reports\5021.rpt <br />